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Needle Biopsy Of The Testicle

Washington, DC rates for HCPCS 54500

A thin needle is passed through the skin of the scrotum to take a small sample of tissue from a testicle, which is then examined under a microscope. It is most often used to look into fertility problems or an abnormal finding in the testicle.

Rates data updated July 2026.

How much does Needle Biopsy Of The Testicle cost?

$200

Typical physician fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $85.11 to $1,862.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3,162 · 10th to 90th $85 to $7,762Professionalmedian $85 · 10th to 90th $79 to $525
$100.0$500.0$2.0K$10.0Kfacility $3,162professional $85

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$2,754.23
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$524.81
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$2,818.38
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$107.15
Typical High
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$74.13
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$6,606.93
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$107.15
Typical High
$208.93

Where Washington, DC sits

The same service costs 40.7 times more in Colorado than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington, DC $200 · 12th of 51
CO $3,236DE $79.43

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.